Mealy K, Salman A
Department of Surgery, Worthing Hospital, West Sussex, U.K.
Eur J Vasc Surg. 1988 Dec;2(6):405-8. doi: 10.1016/s0950-821x(88)80020-3.
The number of ruptured abdominal aortic aneurysms (RAAA) was documented over an 8-year-period in a known population age group. Patient figures were collected from the operative and post-mortem registers in the Worthing Health District. The overall mean incidence of RAAA was 13.9/100,000 patient years, although the incidence was noted to increase from 9.2 to 17.5/100,000 patient years during this period. The incidence in the male population rose from 4.7/100,000 for those in the fifth decade to 184.8/100,000 for those above 80. For patients undergoing operation, the peri-operative survival was 38%, however the overall survival was 11% as 64% of patients died at home. These figures demonstrate an increasing incidence of ruptured AAA. They also add support to the need for screening of asymptomatic abdominal aortic aneurysms and elective repair if the incidence and hence mortality is to be reduced.
在一个已知的人群年龄组中，记录了8年期间腹主动脉瘤破裂（RAAA）的病例数。患者数据来自沃辛健康区的手术登记册和尸检登记册。RAAA的总体平均发病率为13.9/10万患者年，尽管在此期间发病率从9.2/10万患者年上升至17.5/10万患者年。男性人群的发病率从50多岁人群的4.7/10万上升至80岁以上人群的184.8/10万。接受手术的患者围手术期生存率为38%，但总体生存率为11%，因为64%的患者在家中死亡。这些数据表明腹主动脉瘤破裂的发病率在上升。它们也支持了对无症状腹主动脉瘤进行筛查以及进行择期修复以降低发病率和死亡率的必要性。
